ALLYSON MCCLELLAN (LMSW) – Clinical Social Worker, NPI 1265042493

ALLYSON MCCLELLAN (LMSW) is a healthcare provider. based in Portage, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801117168 (MI). The NPI Number for ALLYSON MCCLELLAN (LMSW) is 1265042493

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALLYSON MCCLELLAN (LMSW)
NPI
1265042493
Phone
(269) 312-1446
Address
1125 E Milham Ave Ste B
Enumeration Date
3 August 2020
Last Update Date
5 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693121446
Graduation Year
2020 (6 years ago)
PAC ID
6800243221
Group Practice PAC ID
0042641136
Professional Enrollment ID
I20231107001980
Address ID
MI490083283KA4341XAVEX401

Contacts

Secure Messaging
amcclellan@chcmi.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for ALLYSON MCCLELLAN (LMSW)

  • 1125 E Milham Ave Ste B

    Portage, MI 490023096

    Phone: (269) 312-1446

    Fax: (269) 225-6949

    Type: Location

  • 2615 STADIUM DR

    KALAMAZOO, MI 490081654

    Phone: (269) 343-1651

    Type: Mailing

  • PO BOX 2174

    KALAMAZOO, MI 490032174

    Phone: (269) 312-1446

    Fax: (269) 225-6949

    Type: Mailing

  • 4341 S WESTNEDGE AVE STE 1106

    KALAMAZOO, MI 490083283

    Phone: (269) 312-1446

    Fax: (269) 225-6949

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231107001980IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042641136View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerCO
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Geriatric Medicine, Family PracticeMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Is there an official ID for ALLYSON MCCLELLAN (LMSW) in U.S. healthcare records?
The official identifier for ALLYSON MCCLELLAN (LMSW) is NPI 1265042493.
Is ALLYSON MCCLELLAN (LMSW) still an active registrant?
ALLYSON MCCLELLAN (LMSW) carries an active NPI according to the public dataset.
What area of care is associated with ALLYSON MCCLELLAN (LMSW)?
ALLYSON MCCLELLAN (LMSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Michigan is ALLYSON MCCLELLAN (LMSW) registered?
Use Portage, Michigan as the headline location for ALLYSON MCCLELLAN (LMSW) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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